위루관 (Gastrostomy tube, G- (Gastrostomy tube, G- …

1 1 (Gastrostomy tube, G (Gastrostomy tube, G (Gastrostomy tube, G (Gastrostomy tube, G----tube) tube) tube) tube) ???? . , . , , . (Choking) (Aspiration) (.)

2 , .. , , .. , . 2 ???? 1.. ( ) 2.. 3 .. 3.. ( ) **.

3 1) 5-10cm .. , . 2) (PEG tube) , . , stoma . stoma .. 3 . 3) (Laparoscopic gastrostomy) .. (Fundoplication) ? 1. (Fundoplication) . 2.. 3.. 4.. ( , ) 5.

4 ? (? (? (? ( )))) 1) malecot tube , .. 4 . , . malecot tube . 6 . 2).

5 3) (Skin-level Button Gastrostomy) . , . One way valve tube . stoma . Bard Button, MICKey, Copak, Entristar . 3-4 Mickey . 4) (Pecutaneous Endoscopic Gastrostomy : PEG tube) PEG tube , ( ).

6 5 5) Foley ( foley catheter) tube . tube . , stoma tube . ????.

7 (((( )))) 2-3 . Tube 4 . , A. Top-up feeding B. Bolus feeding C. Continuous feeding D. Combination feeding A. Top-up feeding tube .. Top-up tube , . 6 B.

8 Bolus feedings . bolus feeding . Bous feeding . feeding set . ( ).. bolus feeding (Feeding bag ) C. Continuous feeding . 7 . Feeding Set Pump . Pump . D. Combination Feeding feeding.

9 Top-up feeding Bolus feeding , Continuous feeding .. , . tube , continuous feeding tube .. Venting Venting Venting Venting ( ( ( ( )))) Venting . Venting.

10 Venting . , .. , .. tube . 1.. 8 2.. 3.. 4.. 5.. 6.. ** . ( ( ( ( , , , , )))).